UNI Americas; FENAMUTRA & IGEF-UASD (2026). Caring with Dignity: Towards a Comprehensive Home Care System for Older Adults in the Dominican Republic [Policy brief]. Initiatives Project to Strengthen Care Policies in Latin America and the Caribbean.

This policy brief summarizes the results of the evaluation of the ‘Family of Care’ program. The analysis shows that combining home care for older adults, financial stipends, and certified training for caregivers is an effective way to prevent unnecessary institutionalization and give recognition to work that has historically gone unnoticed. However, the study warns that these advances coexist with critical issues like work overload, lack of social protection, and weak contractual formalization in the sector. Based on this assessment, the publication outlines a roadmap aimed at moving beyond a strictly assistential approach and laying the groundwork for a Comprehensive Care System, strengthening CONAPE’s leadership, ensuring decent working conditions, and linking home care services with the health and social security network.